Tom Kindlon
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Free full text: http://www.frontiersin.org/Computational_Physiology_and_Medicine/10.3389/fphys.2013.00119/abstract
Multiscale analysis of heart rate variability in non-stationary environments
Front. Physiol., 30 May 2013 | doi: 10.3389/fphys.2013.00119
Jianbo Gao1,2*, Brian M. Gurbaxani3*, Jing Hu1, Keri J. Heilman4, Vincent A. Emanuele II3, Greg F. Lewis4,5, Maria Davila4, Elizabeth R. Unger3 and Jin-Mann S. Lin3*
1PMB Intelligence LLC, West Lafayette, IN, USA 2Mechanical and Materials Engineering, Wright State University, Dayton, OH, USA 3Chronic Viral Diseases Branch, Division of High Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, GA, USA 4College of Medicine, Brain-Body Center, University of Illinois, Chicago, IL, USA 5Research Triangle Institute, Raleigh, NC, USA
Heart rate variability (HRV) is highly non-stationary, even if no perturbing influences can be identified during the recording of the data.
The non-stationarity becomes more profound when HRV data are measured in intrinsically non-stationary environments, such as social stress.
In general, HRV data measured in such situations are more difficult to analyze than those measured in constant environments.
In this paper, we analyze HRV data measured during a social stress test using two multiscale approaches, the adaptive fractal analysis (AFA) and scale-dependent Lyapunov exponent (SDLE), for the purpose of uncovering differences in HRV between chronic fatigue syndrome (CFS) patients and their matched-controls.
CFS is a debilitating, heterogeneous illness with no known biomarker. HRV has shown some promise recently as a non-invasive measure of subtle physiological disturbances and trauma that are otherwise difficult to assess.
If the HRV in persons with CFS are significantly different from their healthy controls, then certain cardiac irregularities may constitute good candidate biomarkers for CFS.
Our multiscale analyses show that there are notable differences in HRV between CFS and their matched controls before a social stress test, but these differences seem to diminish during the test.
These analyses illustrate that the two employed multiscale approaches could be useful for the analysis of HRV measured in various environments, both stationary and non-stationary.
Keywords: heart rate variability, fractal, adaptive fractal analysis, chaos, scale-dependent Lyapunov exponent, Trier Social Stress Test, chronic fatigue syndrome
Citation: Gao J, Gurbaxani BM, Hu J, Heilman KJ, Emanuele VA II, Lewis GF, Davila M, Unger ER and Lin J-MS (2013) Multiscale analysis of heart rate variability in non-stationary environments.Front. Physiol. 4:119. doi: 10.3389/fphys.2013.00119
Received: 23 January 2013; Accepted: 08 May 2013; Published online: 30 May 2013.